Individual
MS. PAMELA BETH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATR
Contact information
Practice address
4035 NE SANDY BLVD STE 240, PORTLAND, OR 97212-5331
(971) 940-2601
Mailing address
4657 NE KILLINGSWORTH ST UNIT 37, PORTLAND, OR 97218-1947
(503) 708-9751
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
ART-T-10207954
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ART-T-10207954
LICENSED ART THERAPIST
OR
Enumeration date
06/01/2022
Last updated
06/01/2022
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